Hi Jan
Before I even got very far into your post, I was thinking "I bet this mom
has oversupply." I have a client right now who has been exclusively pumping
for a premie and has oversupply issues too, a couple times has had mastitis
in 5 wks.
I would recommend decreasing her supply gradually by lengthening the
interval between pumping sessions and/or decreasing the amounts of milk
removed, as tolerated.
The mom I am working with recently transitioned the baby to breast with a
nipple shield, when baby got to due date (was 35 wks) and close to 7 pounds.
Your client might consider transitioning to direct bf as well.
Laurie Wheeler RN MN IBCLC
Mississippi USA

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome